HomeMy WebLinkAbout756 CENTER ST - Building Permits�osta Mes Building Department � APPLICATION FOR PERMIT
: t 111� EAST 20th STREET
y� COSTA MESA, CAUFORNIA a_��s .. B.U.I L_D_,� N G__ __. .':
FOR APPLICANT TO FILL IN FOR OP'�`dCE US� O_NLY ;
Receipt No. Permit�No. '
Building ' � � // � !1 (
Addrcas 756 GPntpr St. � / �
Received by, Date Rec'd. Date Isaued
Costa Mesa, California ,
Nearest — � ��/,I' I
CrossSt Building � Y ;
Address
Owne� Sornnean Cor�- ' � �
„_„ Costa Mesa, California ,
or
Size of Lot r� X 1� �
Use of I
Existing Bldg.
Setback Line trom
Center of Street �
DESCRIPTION (
New ! I Alteration
flepair I I Movinp
'1 Building No. of
Stze 966' Hooms
Exterior Wall Rt
Covering S'tlle(:O I Cc
Uae of New
Tel.
No. ot Bidgs.
Now on Lot Nnni
No. of No. of
Familiea Room
Rear Vard
Side Vard K �
Stories
. I hereby acknowledge that I have read this Applica[ion
and state that the above is correct and agree to cromply
with all City Ottlinanms and State Laws regulating
balldin8 construction.
s�9nasureot DIKE A^1D COLEGROVE
Perm�ttee -�og
�
Authorized �
Valuatlon Pert ee_S .�.(�-
' Plan heck $
S $�275 7ota� 25.00
Fee S
�o�.� z a 4- IM 1'2-63 •
Nearest �
Cross St. //
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APPROVALS
Forms, Materlals
Under-Pinning
Frame: Fire Stops,
Bracina. Bolts
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- PLOT PLAN
Show location and distances trom
property line and between buildinga
75 � ..� : . , �.
... .. .:. �• co,in « �*��25.00
APH 19-55PabEgn 553a
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G�STA MESA BUILDING-SAFETY DEPARTMENT
� P. O. BOX 917 CO6TA M68A. CALIFORNIA
For Applieanf fo Ffll In Complefely
TYPE OR PRINT
BUILDWG
AODRE88
COSTA MESA CALIFORNIA
� MAII
- S T
TEL.
NO.
TEL.
No: � /-,Q%/`�
INO. OP etcoe.
88TBACK LINB PRON �
CHNTBR oP 8TR88T REAR YARD L
BIDE YARD LEFf C/ I RIGHT (C /
DESCRIPTION OF WORK
� NO. OF
10
!
FEE RECEIVED
anre �s2 .
FINANCE DEPI. �u��
CITY OF COSTA MESk
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. P6RMIT ,
COSTA MESA.
FIRE
ZONE
APPROVED
ZO O. OF
PUN9
�ao..� 1 ..-�
(CHNT[N LIN6 BT.1
88 OP NHW�
BU�LO�NO
� �' �\
b ��-�—
EVES
I H6REBY ACKNOWLHD68 THAT 1 MAVH pBAp THI6 MPLlGT10N TX8 AMOt1NT SHOWN UND¢R VALU�T�ON IB FOR THE
ANO BTATE THAi TH6 ABOVE IB 60 AND �GPC¢ TO GOM�
PURP088 OP EBTABLIBHING M1 PeflMIT F88 ONLY.
PLY WITH ALL CITY OHOINANGe6 AND e L.�W9 R¢OULATNO
BUILDINO CONBTRU N. VALUATION /
BIGNATURE OP PERMIT FEE $ �
PERMITTE [�
$ �� O PLAN CHECK $ �✓
AUTHORIZED-A"GEHT � �
TOTAL FEE �/�
i
n
" ,' � 42158
COSTA MESA BUILDING-SAFETY DEPARTMENT ,
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
Far Applicant to Fill in Completely — Use Ink Only „
OWNER JIM Y,ERWIN
MAI4
ADOAESS SAME
ciTv CfSTP MESh
ITECT
TEl
NO.
TEL.
BVIIDING
ADDRESS
TRF
FIRE
ZONE
,
rat� , � ,r;:*..t ..
�nf.! � 6-�e�„�.00 . s �e�� -� 5.5C �
POK STRUCTURAL PERMIT
DATE {Cl' I(/)'
ADDAESS
TEL. ZONE NO.OF �J USE OF N N
CITY NO. PLANS �(/ BUILDING
i-�i STA7E CITV �AROSAPPROVED YARDSA
� LIC. NO. LI0. NO. MAIN BUILDING ACCESSO
{s� 512E NO.OFBLDGS. (FROMGLSTREET)
0. OF L�T NOW ON LOT ROM FT.
� USE OF \ �
EXISY�NG BLDG. ESI � I
�
� Separa[e permits are cequired for L. SID /
Q electric, plumbing and heating work. aEAR FT.
� USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCE ET. BET. MAIN &
�Q C.E MAIN B�DGS. ACCE$$. BLP
VAR. dh DATE
a� � C.U.P.qy+ APPROVED
� 2jlIS(�N6 2 qpp
r o E �
�
y� CJT LC u k�CB11EN �NlN6 Q��
W
Q1 herBby ecknowledge that I havo read this applicetion antl state
a that Sha abova informetio� is corract antl ap�e0 to comply wIM
a all laws raOulaNng builtlinp conrtruction, antl I shall not amploy
z any person in violatlon ot the workman's compensation laws at
� the S�ece of Celitornie.
3 I herBby cartity thet I em properly licensetl as a contractor un0ar SQ. FT.
the State of Catf4ornie Bus��esa antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALU
Chapter 9, antl thai sueh Iicenses ara in full toree antl effact, or I THE PURPOSE OF ESTABLISHING A PEFI
am exempi from tha provisionz of t�e State of Callfornia Business VALVATION PERMIT FEE S
antl Professions Cotle, Oivision 3, Chapter 9. A
� // � PLAN CHECK S
S�g�aturaof � ���
Permittee - g �i TAX S
A�thO���ed TOTALPAID S
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'���" 39385
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFOHNIA 92626
For Applicant to Fill in Completety
BUIIDING ` �J
ADDRESS J I /�/ ? L:/� !T
OWNEa �A_ ov� DP.r �/
Z. __ _'_ _
W W
d U CITV
ZQ COPbTRUC710N
O � LENDER _
am
J � BRANCH
J �
a W ADDRESS
CI J
m ARCNITECT
J y OR ENGINEER
U Q
W � ADDFESS
aw
w Z CONTRACTOR
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J � /�DDRE$$
W w
Z� CITV
W � STATE
y � IIC. NO.
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5
TEL.
TEL.
CITV
LIC. NO.
NO. OF BLDGS.
N�W ON LOT
PA17
OFC -4-74cris: OO 307 � *': * *�<7.5G
FOR BUILDING PERMIT
A.P. NO. /
BUILDING
ADDRESS
ROVE
�lE NO.OF
:J p�qfy5 �
VARDS APPROVED
VSE OF ' � /
EXI5fING BLDG. � N '� /Y . /e
F SIZE OF NO. OF
Z NEWBLDG. ROOMS STORIES 1.51DE
a EMERIOP WALL ROOF
�% COVERING COVERING REA I
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. ��
d MAIN BLDGS.
a
Q VAR. �W
O ' ( C.U.P.�{s
� .4PFROVED �
y
z
�
UI heraby aeknowlatlBa that I have reatl this application antl state
� that the ebove lntormailon is cOrraci antl eprae t0 comply with
� all lews regulatinp builtling conatruction, entl I shall not amploy
� any perwn in violatlon ot the warkmen'a compansetion laws of
y the Scate of Celifornle.
z1 hareby certify thnt I em proPer4y licenso6 aa a contractor under Sn'
the State of Callfornie Businass antl Ptofassione Catla, Dlvlsien 3, THE AMOUN'
Chapter 9, antl t�at auch Iicanses are in full forco end affect, or I TNE PURP06E
am axampt from t ov(siOnsot the Stata of Celitornle Busineu VALVATION
antl Protessiona C tle, ivisia� 3, Chapter 9�
Sipneture of / �
Permlttea � P� S �OG.
Authorized�Apent �
LOT
VALUE
DATEI�L
USE OF �
el11LDING
&
0
r� �
VALUATION IS FOR
A PEFMR FEE ONLY: �
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' $ 7
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$ L
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-. �1530
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
H?ti 23-70�H;A�O 607 o*i4°**5.0�
forApplicant to Fillin Completely APPLICATION FOR BUILDING PERMIT
RECEI ED BY OATE RECEIVED DATE ISSUEO
ADIDRESS C. M. ' 3-a� �� 3-a8-9d
F RM T Q.
owNea . Gleason /a�P NO. _ — (J
MAII � BUILDING
ADDRESS ADDflESS
TEL.
CITV NO. TRACT LOT1O BLOCK
CAN5TRUCTIDN W �+ P
LENDER
BRANCH
OWNER e son
ADDFESS VA UE
ARCHITECY TEL. • §
OR ENGINEE N
FIRE
ADDRESS ZONE � TVPE GROUP
APPROVED
CONTRACTOR L L R Br DATE ✓
ADDRESS
TEL. ZONE NO.OF USE OF NEW
PLqNS BUILDING
CITV NO.
STATE CITV �ARDSAPPROVED VARDSAPPROVED
LIC. NO. �IC. NO. MAIN BUILDING ACCESSORV BUILDING
512E O.OF BLDGS. (FROM GL ST �
OF LOT 5'j,6S x 136.12 X SS• �^10NLOT ROM F. FT.
USE OF
EXISTING BLP�:. FT FT.
SIZE OF NO. OF
NEWBLDG. ROOMS STORIES L.SIDE FT.
EXTEFIOR WALL ROOF
COVERING COVERING REAP FT. FT.
USE OF BUILDING AND WORK TO 8E PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BLDGS.
VAR.qW DATE
C.U.P.# APPROVED
APFFOVED �
I he�eby eck�owlatlBa thet I have �eetl [his epplite[ion entl stata
that tha abo+e information is correct antl agtea to compiy with
ell laws reBulaHnB builtlinB consvucUon, end I sholl noi emplay
any person I� violation of tho workman's compensatian lews of
the State of Calitornle.
I hereby cert�fy that I am proparly licansetl as a conbactor untler SQ. FT.
Ne Siate of Californla Business antl Professions Cotle, Dlvislcn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, ehd ffiat wch licenses ere In full force entl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
em exempt trom the provisions ot the Steta o( Calltornia Bustnass VALUATION
antl Protassb�s Cotle, Division 3 Chapter - ` A ''
/�/ PERMIT FEE �9�/' (/�'�
SlBnatura of /�
Permlttee __`;���/(/. � / $ �� � PLAN CHECK $
Avthorizetl Agent �� � �y' � '7
70TA�FEE §\/, �-�/
Pf�xess: 756 CENTER ST
NAME: COLE, RICHARD R TR
oosess: 3149 MADEIRA AVE
" COSTA MESA,CA 92626
966-3057
PNCH/ENGINEER:
RDONESS:
NEG.NO.:
UNIT:
uxiT:
PERMinEE: FAZRWEATHER ROOFING ( 719 ).°_��_�_'�—_�r"_�.
aooness: 3845 E CASSELLE AVE
ORANGE CA 92669
IJCENSEU CONTPRCTOfl OECLANATION: I nere0y allirm �hal 1 am licens¢E under pmvisions of ChaD�e� 9(�ommencinq wilh Section
]000) af Oivision 3 0l t�e Business anU Pmlessions Ca4e. anU my license is in full force an0 effect.
ciTruc.: pq 8zg STRTELIC.:SiSiZS �'^S' C 39 EXP: 06/95
.gs� �'..l(.� "�— Signature: _�,
WOBNENS' COMPENSRiION DELNMTION: I here0y afiirm tnat I nave a ceniticaie ot consent to seli-insure or a certilicate ol warkers'
Compensation Insurance, or a ceruliea coDY ��ereol (Section 3800, Lao. C).
POLICV NU.: EXP. �RTE:
COMPRNY:
❑ Ce�ilie0 copY is nereby fumiSheE. � Certiliea copy is �iletl wi�h �he ciry Buiiding Division.
Daie: Applicant:
E%EMPTION FHOM WOBNENS'COMPENSPTION OECIABRT10N: (T�issection nee0 nolUecompleteAifihe permitisioronehunareA�5100)orless�.
I c¢rlity Ihal in Ihe Oerlormante o� �he work lor whith IhiS permil is issue4 I shall noi empl0y any person in any mannef 5o a5 i0 DeCOme
subjet� lo I�e Wor rs' omcp/ensali0n Laws o� CalilOmia.
� � ����� ` Signature: � —
NO710E: II, alter making ihis tleclaralion, you should �ecome su�le�� �o ihe Workers' CompenuGon provisions ot tAe LaEor
Cotle. you musl forl�wii� comO�Y wi�h such pmvisions or this permii shall Ue Oeemed revoketl.
CONSTBUC710N LENDING RGENCY: I �ere0y aifirm t�at t�ere is a canstmction lending agency for I�e Dertarmance ol tAe work lor
wnicn �nis permit is issuetl (Section 9097, Civ. C).
LENDEX:
AOOflESS:
OWNEB BWlOEB DECUPP710N: I �ereby allirm iAat I am exem0� ��om ihe Contracmrs' State License Law lor t�e lollowinp reason
�Section 70.37.5 Business anC Professional CaAe: Any ciry of county which requires a permit to canstruci, alrer, imprwe. tlemolish, ar
re0air any siruclure. prior lo ils issuance. also r¢Quires I�e applican� tor such permi� to tile a SiA�e4 5�aiemen� �ha� hdshe i5 licens¢G
pursuani Io Ine O��sions ol Ine Camracmrs' State License Law (C�aD�e� 9lcammencing with $ection 7000) ol ONision 7 al Ihe Buvness
ana Pmlessions COGe) or �ha� ne/she is exemD� ��erelmm antl Ihe Oasis for �ne atleped eeemD��on. Any vioWtion of Section 7037.5 �y
any applicanlfar a Oermi� SUGje[I5 IAe apDlicani to a civil penalry of noi mare ihan frve �untlreC OOIlarS �E500�.
I, as owner ol ine DmOeny or my emyloyees with wapes as their soie compensation, will Ao I�e work, antl tne
❑ svucmre is nm inlenEed or olierea for sale (Seclion 7044, Busmess ana Pmfessional Coae: ihe Contractors' Slale License Law
aoes not apply to an owner ol a pm0eny wlp �uilOs ar impmves thereon, ana who Ooes suc� work himseli/herull or thmuAh
�i5 or Aer own empl0yee5, proviGeG Ihai SutA imD�ovemen(5 are no� int¢nEed or oflereU laf sale. I�, twwevtr I�¢ Cuildinp ar
impmvemenl is soltl within one year ol comDlelian. ihe owner will �ave t�e burJen oi pmving helshe Oid not builG or impmve
for �ne ouroase of sale�.
I, as owner of Ihe pmDeny. am erclusivety conVactinp with licensed Wntractors to consiruci tna project (SeCtion 70dG, Business
❑ an0 Prolessions CoOe: The Camracmrs' State License Law Gces noi apDN �o an ovmer of pmperry wlro GmIEs ar imD�s thereon
anU who coniracls lor such prajects wilA a canVac�or�s) license pur5uani Io the Conlracia�s' S�ale Litense Law�. I am aware
Ihal pwoi ol lheir Worker's COmpenSaiion in5urante ShoWC �e pmvideA Io me.
� I am e.empt untler Section: B. 8 P. C.
�or IhiS reason:
Oa�e�. Owner
I tlo hereby cenily Ihal I am aware ol antl untlerstane �he reQuiremen�s o� Cahbmia Health and Safery COUe Sec�ions 25505, 25533, antl
I2553a an� Ihat I or any lulure Ouildmg occupan� willlwill not (circle ane) nee0 to comply wi�h said state catles antl the requirements for a
permit lor con5iruclion or moAification Imm Ihe Air ualiry Managemen� OiStncL ResiOential constmc�ion applications ar2 eeempi Imm
these provisians.
Uale: ADDlicanl:
I hEreby wtlify Ihal I have reaa �Ais applitali0n an0 S�ale ��a� Ihe abOve in�orma�ion is Correct. I aAree l0 COmDIy wi�h all ti�y antl Coun�y
orainancesan4sla�elaw5rela�inglobuil0ingtonslm[IionanU�¢reDyaulhorize epresen�ativesoflhistiryto¢nterupon�h¢a�Ove�meNionetl
pmpetly lor in eCcti n pur0oses. ��
Date: _ _ u � � Signature:
ori�er's �icense a� Sociai Securlty �:
16aLa6 Wnne—Bmltling: Green—CoEe Enlo¢emem: Canary—Applicam: Pink—Pevenue; GolOanroE—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: B 068899 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: STR
PERM NO: B 068899
GOVT: N SUPP: N
PUAPOSE: ALT
JOB DESCRIPTION : T/OF£ REROOF W/FZBERGLASS SHINGLE SQ FT; 2,320
CLAIM VALUE: 2,320.00 CALC—VALUE: 2,320.00 GROUP OCC: R-3 /
COMMENTS: SMOKE DETECTOR REQUIRED PRIOR TO FINAL
****�r�****�****+r*******�+t****�***�r****ir**�r******�x��**+r�r**�*�r�******x�+t�c-*******�r�
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 42420109 ZNE: REF NO:
PLANNING NOTES>
y,
�r�r*x�x��r***�r�t�r*�x�i�x�i�**x�x-x��rir*f�**+tx*�t***�r�r*x*****+�*�+r�r+�*�t****�r***ir*x��r�rx*�k�r�ri�x��rx��r***
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T' S
20NING APPROVED BY ,
BUILDING APPROVED BY :
APPLICATION ISSUED BY;
if iE it it iE iE iE it it iE iE iE iE 1F iE it iE it it iF 1t fl
iE iF %iE i! iE if iF if iF jf it if 1E iE iE 3F �)F!F iF if M
LEGALIZATION:N
F E E S U M M A
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 54.00
PLAN
ISSUE FEE
_ DATE: •
— DATE:
DATE: `���
�iFiEfFitiFflllffltitif t E s il�1f
fE iE if iE iF if if iE �f iE iE iE ik iE iE 3F if ff iE 1E iE if if ik M
STRUCTURAL SEGMENT:Y
FIRE SMIP/RES GRADING
.50
SMIP/NON—RES
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTA� PAID DUE
TOTALS----> 54,50 0,00 0.00 54.5 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: ,00
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 ,50
if 1f if iE iE 1E ik if iE iF it iE 1E iE 1F iF iE iF if iF iE if iE 1E iF iElF iE ff itlf 1h 1E if ik 1! 1E 1k 1k ik 1F 1E iE if iE i! iE 1f iE 1f !E iE iE 1! if iE dF iF i!!E iE i! if iE jE if �k iE iE 1f if iklh iF it if ih iF iE
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY D E S C R I P T I O N
2320 REROOF BY VALUE RESIDENTIAL NOZONE
l END OF FEES
�
UNIT COST TOTAL COST
1,00 2,320.00
. V
Q1 Ot7167821—OQ16782? T ftT ;4.`D
DATE� 09/1S/9� TIME: 10:27
.. C7NSTRUCTION AND PLANNING POOL & SPA �
�PROVALS Permit # Date Inspector APPROVALS Permit # Pate I�spector
1. Temporary Electrical Service or Pote 52. Pooi & Equipment Location
2. $oil Pipe�Undrgrnd. _ 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical ConduirUndrgrnd. 55. Electrical Bonding
5. Steel Reinforcemen[ 56. Rou9h Plumhing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAI TO COVER�GUNITE
7. Footings 58. Electrical Cqnduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe�Undr9rnd. 60. Backwash Lines, P�Trap, C] Undrgrnd.
10, Stroctural Pioor $ystem . 67. APPROVAL TO DECK �
i t. ProPerty Sewer Line & House Connection 62. Backwash & Receptor�Final
12. SeWer Cap 63. Heater & Vent-Final
13. Roof Dsains 64. Pfumbing System - Finat
74. Rough Plumbing 65. Electrical-Finat
15. flough Electrical-Conduit 66. Solar System-Final
16. Rough Electric N+iring 67. Feneing & Access Approvai
77. Rough Wiring Sign 68. APPROVED FOR PLqSTERING
18. flou9h Elec?ricai-T Bar Ceiling 69. POOL/SPA SYSTEfviS FINAL
19. Rough Hea:mq & Air Conditioning PIRE DEPT, REQUIREMENT
20. Rough Factory Fireplace ' � APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 77. Product Piping O Gas O Oil
23. Gas PiPe�Rough & Test 72. Underground Flush
24. floof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing 4.�,C�U/ 6,(J�L 7q, Overhead Hydro I
G
26. T�Bar Cellin9 (S2ructural} & Monocoat 75. Dry Chemicai �
27. Frame and Flashing 76. Dry Standpipe -
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation � 76. FIflE PREV. FINAL
30. DrySvall Nailing � HEAL7H DEPT. REQUIRENIENT
37. PlaSter Browm Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Finai . 80. FOOD CERTIFICATE ISSUED
33. Final Electrc � Notes:
34. Final Heating & Air Conditioning �
35. Final Gas Pipe•Test .
36. Hopd or Canopy "
37. Final Factory Pireplace ,"� � �
38. Final Plumbing � .
39. Water Servlce�Fina1 �
40. Gas Service-Final �
41. Soiar pomestic-Final
42. 8ack4tow Preventer ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUIIDING ����c! ��
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48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co �
51. CEflTIFICATE OF OCCUPANCY
No. Date